I have had several patients that require an AVR and have concomitant mitral regurgitation. Usually, a double valve procedure is performed. Although, when the patient has multiple co-morbidities and a poor EF, an option is a Trans-Aortic Alfieri Stitch. I have performed 10 cases in which I have provided this option. A good solution to a difficult problem. I have submitted an early paper for publication. I will keep you updated with the mid-term results.
Posted in Uncategorized